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C Acosta-Olivo, Y Tamez-Mata, J Murillo-Rodríguez, V Peña-Martínez, J Villa-Chavarría
BACKGROUND: The distal radius fracture represent until 15% of all bone injuries in adults. The key in the recovery of mobility and functional outcomes are rehabilitation. The intra-articular application of magnesium sulphate has been used for postoperative pain. The objective was to determinate the improvement in pain and functional outcome of patients with distal radius fracture using intra-articular magnesium sulphate. MATERIAL AND METHODS: Patients with distal radius fracture treated with percutaneous pinning and cast immobilization was included and randomized into two groups...
September 2017: Acta Ortopédica Mexicana
S Meena, A Hooda, P Sharma, S Mittal, J Sharma, B Chowdhury
Various studies comparing operative and non-operative intervention for displaced intrarticular calcaneal fractures have reported conflicting findings in the past. The objective of this meta-analysis was to compare the efficacy and safety of open reduction and internal fixation (ORIF) vis-a-vis conservative management. Relevant randomized controlled trials (RCTs) comparing operative and non-operative intervention for displaced intraarticular calcaneal fractures were assessed and included in this meta-analysis...
December 2017: Acta Orthopaedica Belgica
Bobby John, Anirudh Sharma, Ritesh A Pandey
Introduction: Melorheostosis is a rare benign sclerosing dysplasia affecting bone, which causes significant morbidity in the form of pain and restriction of joint movement. Treatment options are varied, and recurrence is common after surgical treatment. Choosing the most appropriate treatment option in the management of a recurrent case is challenging, with very little supporting evidence in literature owing to the rarity of the disease. We hereby present a case of recurrent melorheostosis involving the knee; discuss treatment options and the rationale of our treatment...
September 2017: Journal of Orthopaedic Case Reports
R Papalia, F Russo, G Torre, E Albo, V Grimaldi, G Papalia, S Sterzi, G Vadalà, F Bressi, V Denaro
Osteoarthritis (OA) of the knee is one of the most relevant and debilitating health problems. Obesity represents one of the major risk factor for early development of OA. In the obese population, knee replacement should be delayed and eventually avoided and prefer conservative treatments including intrarticular hyaluronic acid (HA) viscosupplementation. In the present clinical randomized trial, we present a comparison between two groups of 24 obese patients which were randomized to be treated with two intrarticular injections of hybrid (low and high molecular weight) hyaluronic acid (Group A) or two injections of high molecular weight hyaluronic acid (Group B)...
December 27, 2017: Journal of Biological Regulators and Homeostatic Agents
R Papalia, L A Diaz, G Torre, E Albo, A Tecame, S Sterzi, F Bressi, V Denaro
Osteoarthritis (OA) of the base of the thumb, also known as Trapezio-Metacarpal (TM) OA, is a disabling condition, which mainly affects women and manual workers. When TM OA is not adequately treated, patients develop deformity and loss of function of the thumb. The surgical approach is a widespread strategy to treat this condition, but there is still no consensus on the most effective procedure. Therefore, several conservative strategies are commonly used, such as nonsteroidal anti-inflammatory drugs (NSAIDs) administration, thumb strengthening exercise, splinting, steroid (CS) and hyaluronic acid (HA) intrarticular injections...
December 27, 2017: Journal of Biological Regulators and Homeostatic Agents
Walter Hermann, Sevdalina Lambova, Ulf Müller-Ladner
Background: Osteoarthritis (ОА) is the most common joint disease and a leading cause for impaired function and disability with significant treatment costs and socio-economic burden. Despite recent achievements in the knowledge on disease pathogenesis, the treatment is still a challenge and contrary to inflammatory joint diseases, no disease-modifying drugs are currently available for OA. Objectives: Despite recent achievements in the knowledge on disease pathogenesis, the treatment is still a challenge and contrary to inflammatory joint diseases, no disease-modifying drugs are currently available for OA...
August 29, 2017: Current Rheumatology Reviews
A Giombini, F Menotti, A Di Cesare, F Giovannangeli, M Rizzo, S Moffa, F Martinelli
This study aimed to compare short-term clinical outcomes between intra-articular injection of hyaluronic acid (HA), oxygen ozone (O2O3), and the combination of both, in patients affected by osteoarthrosis (OA) of the knee. Seventy patients (age 45-75 years) with knee OA were randomized to intra-articular injections of HA (n=23), or O2O3 (n=23) or combined (n=24) one per week for 5 consecutive weeks. KOOS questionnaire and visual analog scale (VAS), before treatment (pre) at the end (post), and at 2 months after treatment ended (follow-up) were used as outcome measures...
April 2016: Journal of Biological Regulators and Homeostatic Agents
Saurabh Sharma, Mukesh Tiwari, Hemant Chaturvedi
OBJECTIVE: To evaluate the functional outcome and extensor apparatus of operative management of intra-articular fractures of distal humerus using modification of the Triceps Tongue Flap approach. METHODS: This prospective study was conducted between June, 2012 to April,2014 in NIMS Medical College and Hospital, Jaipur, Rajasthan(India). We included 23 patients with intraarticular fractures of distal humerus that were managed surgically. Modification of Triceps Tongue Flap approach with Triceps flap in inverted 'V' shape was used...
October 2015: Bulletin of Emergency and Trauma
L A Bryden, J R Nicholson, H Doods, A Pekcec
OBJECTIVE: To characterize deficits in burrowing behavior - an ethologically-relevant rodent behavior - in the monosodium iodoacetate (MIA) rat model of osteoarthritis (OA), and the sensitivity of these deficits to reversal by analgesic drugs of both prototypical and novel mechanisms of action. A second objective was to compare the burrowing assay to a spontaneous locomotor activity (sLA) assay. METHOD: Male Wistar Han rats (200-220 g) received intrarticular (i...
September 2015: Osteoarthritis and Cartilage
Nicholas J Kennedy, Paul J Healy, Andrew A Harrison
AIM: To review inpatient management of acute gout in a New Zealand hospital. METHODS: A retrospective file review of all acute episodes of gout at Hutt Hospital, Wellington, New Zealand over a 1 year period. RESULTS: In the course of a year, there were 90 admissions for, or complicated by, acute gout. In 31 cases, gout was the primary diagnosis. Median length of stay was 5 days and readmissions were common. The majority of patients (87%) were known to have gout before admission, yet only 50% of these patients were on uric acid lowering treatment...
February 2016: International Journal of Rheumatic Diseases
Christoph J Laux, Georg Osterhoff, Clément M L Werner
The sacroiliac joints are causative for 13-30% of cases with low back pain and are still disregarded in the differential diagnosis. This is mainly due to its complex anatomy and the variety of pain patterns originating from the SI joints. The broad etiology of low back pain often misleads the physician into inadequate treatments. This article reviews the clinical presentation of patients suffering from a sacroiliac arthropathy and points out therapeutic strategies. It also provides a helpful diagnostic tool in daily routine...
January 2, 2015: Praxis
Tang Liu, Qing Zhang, Xiaoning Guo, Xiangsheng Zhang, Zhihong Li, Xiaoyang Li
BACKGROUND: The purpose of this study was to compare the outcome, complications and survival of the commonly used surgical reconstructions of the proximal humerus after intrarticular tumour resection in our hospital. METHODS: Between 1998 and 2010, 41 consecutive proximal humeral reconstructions using prosthesis (group P, n = 25) or recycled pasteurized autograft combined with non-vascularised fibula autograft (group B, n = 16) were performed. RESULTS: The mean follow-up was 57...
March 7, 2014: BMC Musculoskeletal Disorders
Aleksandar Bozović, Milan B Mitković, Rade Grbić, Aleksandar Vasić, Ljubomir Jaksić, Dusan Petrović, Goran Radojević, Dragisa Milović, Vladimir Adzić
UNLABELLED: The study included 35 patients with fractures of distal tibia treated at the department of orthopedics HC K. Mitrovica and the Orthopedic clinic in CHC of Nis by a dynamic external fixator fixation of ancle. Ovadia-Beals score was used to assess the quality and repositioning and to assess the stability assessment made osteosynthesis. The final functional result of treatment the patient was determined based on the AOFAS score. Deviations for postoperative talocrural angle for extraarticular fractures was approximately 6 degrees (excellent result)...
2013: Acta Chirurgica Iugoslavica
R Saggini, A Di Stefano, T Cavezza, G Saladino, R G Bellomo
Knee osteoarthritis is a major cause of disability in the elderly. Many therapies are nowadays available, ranging from non-pharmacologic to pharmacological approaches like visco-supplementation, oral supplements or topical treatments, but a flawless treatment is still to be found. Visco-supplementation represents a valid treatment option for reducing pain associated with knee osteoarthritis and improving function in the affected joint. Many literature data report on the efficacy and safety profiles of hyaluronic acid in knee osteoarthritis, however the efficacy of intra-articular hyaluronic acid remains controversial, in fact while several clinical trials claimed a disease-modifying effect for hyaluronic acid, subsequent meta-analyses have cast doubts on this fact...
April 2013: Journal of Biological Regulators and Homeostatic Agents
Shawn Rose, Emily A Waters, Chad R Haney, C Thomas J Meade, Harris Perlman
OBJECTIVE: The ability to noninvasively monitor the development of inflammatory arthritis longitudinally has become increasingly important in experimental rheumatology. Magnetic resonance imaging (MRI) allows for detailed examination of anatomic structures, as well as the assessment of joint and soft tissue inflammation. The aim of this study was to extend the use of MRI to include quantitative measurements of bone destruction in murine ankle joints. METHODS: Joint disease was measured serially using clinical, histologic, in vivo imaging system (IVIS), micro-computed tomography (micro-CT), and MRI techniques in mouse ankle joints, using the K/BxN serum transfer-induced acute arthritis and K/BxA(g7) chronic arthritis models...
September 2013: Arthritis and Rheumatism
J I Torrero, F Aroles, D Ferrer
Application of new biological treatments in orthopaedics is controversial nowadays. Surgeons and practitioners know how difficult can be to choose a solution for chondral injuries. Joint damages are from little contusions, osteochondral fractures, avascular necrosis, osteochondritis and degenerative processes like osteoarthritis and rheumatisms. All mentioned have a common problem: the lack of regenerating hyaline cartilage by themselves. Recently, PRP have been used to treat early moderate chondropathies. Here we show the preliminary results of 30 patients affected by chondropathy of the knee after 6 months treated with a single intrarticular injection of PRP...
April 2012: Journal of Biological Regulators and Homeostatic Agents
Andrzej Zyluk, Bernard Piotuch
An injury to the ligament linking the scaphoid with the lunate is the most common and and budrened with the most negative sequelae cause of the carpal instability. It occurs most frequently as an associated injury at fractures of the distal radius. A review of methods of treatment of the pathology is provided, according to clinical advancement, duration form original trauma and condition of articular structures. Technical complexity of methods is directly related to severity of intrarticular changes. In early, dynamic instabilities, a simple, temporary scapholunate arthrodesis with K-wires is is an useful procedure, preventing further development of chronic instsbility...
October 5, 2012: Polish Orthopedics & Traumatology
Shereen Amin, Mohamed Yosry, Dash Iman El
UNLABELLED: Effective pain relief is important after diagnostic and therapeutic arthroscopic knee surgery to permit early discharge and improve comfort and mobility at home. We compared the intraarticular analgesic effects of ropivacaine and morphine with or without Xefocam and the need for rescue i.v. morphine at rest and during movement in patients undergoing anterior cruciate ligament reconstruction under spinal anesthesia. Anterior cruciate ligament reconstruction (ACLR) is associated with moderate to severe postoperative pain...
February 2011: Middle East Journal of Anesthesiology
Marc J Richard, Daniel A Wartinbee, Jonathan Riboh, Michael Miller, Fraser J Leversedge, David S Ruch
PURPOSE: To evaluate whether there was a difference in complication rates in our patients treated with external fixation versus volar plating of distal radius fractures. We also looked for a difference in radiographic results; in the clinical outcomes of flexion, extension, supination, pronation, and grip strength; and in scores on the visual analog scale (VAS) for pain and the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. METHODS: We reviewed 115 patients with comminuted intrarticular distal radius fractures...
October 2011: Journal of Hand Surgery
Aleš Chrdle, Martin Stárek
A 74-year-old male with type 2 diabetes, coronary artery disease with history of CABG, hypertension and chronic obstructive pulmonary disease had total left hip replacement in another medical facility five years prior to admission. Since the early postoperative period, he had manifestations of dormant infection and was with empirical antibiotics. On the index admission, his X-ray showed signs of loosening of the prosthetic components with resorption of the bone. Periprosthetic infection was managed by a two-stage surgery...
April 2011: Klinická Mikrobiologie a Infekc̆ní Lékar̆ství
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